• The Journal of Korean Physical Therapy
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• v.16 no.2
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• pp.156-168
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• 2004

Unilateral neglect is a common behavioral syndrome in patients following stroke. Unilateral neglect is characterized by the failure to report or responds to people or object presented to the side opposite a brain lesion. The patients with unilateral neglect are severely disabled in all daily activities, have a poor rehabilitation outcome and therefore require professional assessment and treatment This article reviews recent efficacy of rehabilitation techniques includings; drug, cueing, scanning training, prism lense, eye patching, trunk rotation, neck vibration, TENS, limb activation, video feedback. The purpose of this reviews are: to clarify the different types of neglect, as a basis for understanding the tests and measures of unilateral neglect and give information about recent treatments.

• Therapeutic Science for Rehabilitation
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• v.4 no.2
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• pp.63-71
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• 2015

Objective : The purpose of this study was to investigate the effects of vibratory stimulation applied to the left forearm on unilateral neglect in patients with stroke. Methods : The subjects were 11 unilateral neglect patients with stroke. They were divided into 2 groups; 6 experimental subjects and 5 control subjects. Both groups received standardized rehabilitation program and occupational therapy for the intervention of unilateral neglect in a day. In random order, line bisection test (LBT), Albert test, and star cancellation test (SCT) were conducted at baseline, the next day. During the process of all assessments of the next day, vibration stimulation was provided for the 6 subjects in the experimental group (EG), while the 5 subjects in CG carried out all assessments without vibration stimulation. Result : No significant differences were found between groups on any demographic variable or baseline assessments scores. In the next day, there was significant improvement in the EG for the LBT(p<0.05), Albert's test(p<0.05), and SCT(p<0.05). However, there was no significant improvement in the CG for the LBT(p<0.05), Albert's test(p<0.05), and SCT(p<0.05). Conclusion : These result indicate that vibratory stimulation has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.

• Therapeutic Science for Rehabilitation
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• v.2 no.2
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• pp.67-75
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• 2013

Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

• Therapeutic Science for Rehabilitation
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• v.2 no.1
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• pp.57-65
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• 2013

Objective : This study aims to investigate the effect of listening to music for the reduction of unilateral neglect in stroke patients. Methods : This study used a single subject (A-B) design for a stroke patient with unilateral neglect. The subject was trained for 12 sessions in total. Unilateral neglect was measured using a line bisection test and catherine bergego scale. Results : The line bisection test showed decreased mean error scores of treatment period(B) compared with baseline period(A). and catherine bergego scale showed slightly decreased total scores of treatment period(B) compared with baseline period(A). Conclusion : The listening to music showed a beneficial effect for the reduction of unilateral neglect.

• The Journal of Korean Physical Therapy
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• v.29 no.5
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• pp.271-275
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• 2017

Purpose: The aim of this study was to investigate the current status of the use of neglect test tools and the awareness for egocentric neglect (EN) and allocentric neglect (AN). Methods: A survey questionnaire was distributed to occupational therapists attending continuing education at the Daegu-Gyeongbuk branch on April 16. A total 143 responses were collected, and with the exception of 5 incomplete responses, 138 of them were analyzed. Results: The most commonly used unilateral neglect test tools were the line bisection test (86 responses, 62.3%), cancellation test (35 responses, 25.4%), copy and drawing test (7 responses, 5.1%). In a follow-up survey of 86 respondents who used line bisection tests as the most commonly used test, the majority (82 responses, 95.3%2) were found to use the 20-line test paper. In question about the familiarity and education experience for test manual, only 20 responses (23.2%) and 3 responses (3.5%) answered 'Yes'. In a question about the experience of a manual and the article for the manual, 25 responses (29.1%) answered 'Yes'. In the question regarding the separation of EN and AN on the unilateral neglect test, 44 responses (31.9%) were 'distinction' and 94 responses (68.1%) were 'no distinction'. Conclusion: Information on the guidance and interpretation of the line bisection test is lacking and the concept of EN and AN was insufficient.

• PNF and Movement
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• v.17 no.1
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• pp.1-9
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• 2019

Purpose: This study investigates the effects of task-oriented training for a left trunk flexion pattern using real-time ultrasound imaging in a stroke patient with unilateral neglect symptoms. Methods: This study used the ABA experimental design, which is a single-subject research method among individual case research methods. For the ABA experimental design, changes in the degree of unilateral neglect, balance ability, and the thickness of the lateral abdominal muscle were visually analyzed during the baseline process, in the intervention period, and after the intervention. The experiments were performed 24 times in total for 8 times in each of the 3 periods. The unilateral neglect was measured using the Albert test, balance ability was measured using the Berg balance test, and the thickness of the lateral abdominal muscle was measured using ultrasound imaging. The subject was a 50-year-old male patient with unilateral neglect caused by right cerebral hemorrhage. He performed task-oriented training for a voluntary left trunk flexion pattern using real-time ultrasound imaging during the intervention period. Results: The result of comparing the data collected during the intervention period with the data point average of the baseline process showed that balance ability improved and the tendency line was above the baseline. The tendency line of unilateral neglect was below the baseline and showed a decreasing tendency. The thickness of the lateral abdominal muscle showed an increasing trend and the tendency line was above the baseline. Conclusion: The results of this study suggest that the task-oriented training for left trunk flexion pattern using real-time ultrasound imaging has a beneficial effect on balance ability, the degree of unilateral neglect, and the strength of the lateral abdominal muscle in unilateral neglect patients.

• Therapeutic Science for Rehabilitation
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• v.5 no.1
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• pp.33-42
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• 2016

Objective : The purpose of this study was to verify the effects of auditory stimulus using music on unilateral neglect in patients with stroke. Methods : This study used a single subject (ABA) design. The subject who showed unilateral neglect caused by stroke received auditory stimulus using music for 60 minutes per sessions. A total of 20 sessions were conducted. The unilateral neglect was measured by the Star cancellation test and Line bisection test during each session, and Catherine Bergego Scale was used to evaluate the degree of unilateral neglect in daily life pre-and post-test. Also, Positive Affect and Negative Affect Schedule was used to test subject's emotional status. Results : During the intervention period, the results of the Star cancellation test and Line bisection test showed the trend of reduction of unilateral neglect symptom and the effects of intervention were maintained after intervention. After intervention, the results of CBS indicated decreased unilateral neglect symptom in activities of daily living and the results of PANAS indicated increased positive affect. Conclusions : The result of this study indicate that auditory stimulus has a positive effect on the unilateral neglect, and may be considered as alternative choice in clinical occupational therapy for reducing unilateral neglect.

• Therapeutic Science for Rehabilitation
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• v.2 no.1
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• pp.48-56
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• 2013

Purpose : To identify the correlation between CBS and pencil and paper test, and to test the sensitivity of above tests about unilateral neglect. Mostly used tool of pencil and paper test is line bisection and albert test. CBS is behavioral neglect test. Methods : The subjects of study were 44 stroke patients with left hemiplegia. Data were analyzed for Pearson correlation, paired t-test and ANOVA using SPSS program. The significance level was ${\alpha}<.01$. Results : The results of the study was as follow: 1. CBS had a significant correlation of line bisection and Albert test. 2. CBS was more sensitive than the pencil and paper in unilateral neglect. 3. CBS had high correlations with ADL than the pencil and paper test. Conclusion : The result showed that CBS was more useful than a pencil and paper test to distinguish unilateral neglect and available to diagnose anosognosia. Therefore, it should be considered applying CBS to inspect and cure unilateral neglect.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.20 no.1
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• pp.141-148
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• 2020

Unilateral neglect is associated with stroke, a neurological disorder caused by cerebrovascular injury, and is a symptom of not recognizing or responding to the opposite stimulus of the cerebral hemisphere, mainly in the right cerebral hemisphere injury. In this paper, we implemented contents using Virtual Reality based on 10 items and contents of Korean Catherine Bergego Scale(K-CBS), which is used as a behavioral evaluation scale for unilateral neglect. Implemented contents can evaluate body disregard, motility disregard, visual and spatial disregard, auditory attention, etc., which are symptoms of unilateral neglected patients, and can confirmed progression of disease quantitatively by measuring time and rotation angle of head during visual recognition. This method is expected to be useful for rehabilitation training using convenient unilateral neglect diagnosis and its applied contents.

• Journal of Institute of Control, Robotics and Systems
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• v.20 no.6
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• pp.647-650
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• 2014

Assessment and rehabilitation of patients with unilateral visual neglect has been one of the fields that require assistive technology. Paper-and-pencil tests, including the LBT (Line Bisection Test), have been one of the most commonly used visual neglect assessment methods used in a clinical setting. The key motivation of this study was to establish a computer-based real-time assessment system for the hemi-neglect patients without altering the conventional paper-and-pencil based user tools. A digital penbased assessment and rehabilitation system, the ePen System, could eliminate the manual assessment time while maintaining measurement accuracy. As a result, the proposed system may assist rehabilitation specialists to assess and diagnose patients with unilateral visual neglect. This system can be applied to a range assessment and rehabilitation modalities based on a pen and paper. It can also be applied to various patients such as those with Parkinson's disease, stroke sufferers, or those who have experienced different forms of brain lesions.